Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,089.30 / $5,248.07	Facility		$134.90	$2,089.30	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $213.80 / $1,047.13 / $4,365.16	Facility	50	$213.80	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $131.83	Professional		$30.90	$56.23	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $100.00 / $218.78	Professional	50	$53.70	$100.00	$218.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $38.90 / $85.11	Professional	52	$30.20	$38.90	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $10,471.29	Facility		$2,137.96	$3,162.28	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $123.03	Professional		$44.67	$74.13	$123.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $112.20 / $186.21	Professional	50	$66.07	$112.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $109.65	Professional		$45.71	$72.44	$109.65
ConnectiCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $95.50	Professional		$85.11	$87.10	$95.50
Health New England Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $141.25	Professional		$46.77	$85.11	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $6,760.83	Facility		$1,288.25	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $114.82	Professional		$33.11	$54.95	$114.82